Thursday, 8 September 2016

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News broke of Blue Cross Blue Shield of Arizona remaining in the marketplace in Pinal County, Arizona late on Wednesday. Obamacare supporters will rejoice with a thunderous round of applause to the insurance company and positive vibes about how tax credits will keep costs low. But the folks in Pinal County have little to get excited about.

In 2016 residents of Pinal County had two insurers to choose from. The previously mentioned BCBS and United Health Care. UHC offered ten insurance options including Gold, Silver, and Bronze plans. All ten were PPO plans that included a more robust provider directory. With UHC exiting the market those are gone.

BCBS offered five plans. Two Silver plans and three Bronze plans. The lowest deductible with their plans is $2750 for single coverage. The two Silver plans were the highest and 3rd highest cost silver options available which should make them less appealing to shoppers. But the limited number of plans isn't the worst of Pinal County's concerns.

Cost is the number one driver for purchasers of insurance, which makes the accompanying statement from BCBS even more concerning. In their announcement to remain in the marketplace, their Senior VP of  sales, strategy and marketing, Jeff Stelnik, said premiums will increase by 51%. 

Obamacare is working for you Pinal County residents. You have an option. You have choices in that option
. Be grateful for what you have. Because unless we eliminate this train wreck of a law the next time government talks about "health care reform" it will be for single payer.

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Wednesday, 7 September 2016

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Only special people can buy Obamacare health insurance outside of open enrollment. So if you think you are special, you are now going to have to prove it.

Scamming the Obamacare system could soon get even harder.

Federal health regulators on Tuesday said they plan to screen at least some people who apply for Obamacare health insurance coverage on HealthCare.gov during so-called special enrollment periods in 2017 to verify their eligibility first. - CNBC

In the past you could sneak in without challenge. Game the system in hopes you did not get caught.

Now you will have to prove you are legally entitled to health insurance.

What a novel idea. Why didn't we think of that before?

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In the early 1600's American Indians introduced early European settlers to a local crop called tobacco.  The product soon became popular as a trade item and tobacco shops sprang up over Europe. Because the general population was illiterate stores used wooden Indians, generally placed outside the shops, to attract customers.

Early forms of tobacco were too harsh to smoke directly so they were smoked in a pipe or bong (water pipe). Later strains of Virginia and burley tobacco were light enough to be enjoyed directly when rolled into a cigar or cigarette.

In the 1970s, Brown & Williamson cross-bred a strain of tobacco to produce Y1. This strain of tobacco contained an unusually high amount of nicotine, nearly doubling its content from 3.2-3.5% to 6.5%. In the 1990s, this prompted the Food and Drug Administration to use this strain as evidence that tobacco companies were intentionally manipulating the nicotine content of cigarettes. - Wikipedia

Since the year 2000 the FDA has increased its' stranglehold on the tobacco industry, by issuing one new regulation after another in an attempt to cripple the industry.

In May of 2016 the FDA issued regulations under its' "deeming" rule which is a broad way of saying anything they deem to be a tobacco product now comes under their jurisdiction.

If you wish, you may view this in the same vein as the Obamacare medical device tax. Under the guise of making health care affordable the Obamacare laws assess a 2.3% tax on medical devices. The tax is levied at the wholesale level which is then passed on to consumers in the form of higher health care costs. Higher health care costs means higher insurance premiums so the consumer has a double dose of taxes.

The deeming rule is all encompassing, impacting almost every form of tobacco, products used to consume tobacco, people who manufacture tobacco products, those who sell tobacco products .........

This 500 page law threatens the premium cigar industry in much the same way as the 1991 luxury tax on expensive boats that essentially killed the yacht industry in Florida.

Now, instead of boats the FDA wants to drive small "premium" cigar makers and retailers out of business.

“By their own appraisal, their new regulations would wipe out somewhere between 10 and 50 percent of these products as it will not be cost effective to put many of the products through review,” writes the Tax Foundation’s Scott Drenkard.

“The premium cigar industry is composed of some big players, but also many smaller businesses and boutique brands, many of which will likely go by the wayside,” Drenkard added. 

I think there is some likelihood that the dearth of options in the new regulated American cigar market turns more consumers over to black market sales on the internet, specifically international sales of smuggled Cuban cigars. The irony of American consumers turning to a communist country for more market choices is, of course, hard to miss.- Daily Caller

In much the same way that Florida was once home to a thriving luxury boat industry, the Everglade state is also home to some of the best premium cigars produced in this country.

There are those who still debate whether or not Obamacare was designed to crush the health insurance industry into oblivion. That same argument will now be made concerning the FDA and the cigar industry.

As Emille Mustafa puffed a plume of smoke into the air and it disappeared, she worried her family cigar business may soon fade away, too.

Costly new federal rules for cigars, electronic cigarettes and other smoking products that had been relatively unregulated could snuff out small cigar makers such as Córdoba & Morales, a Casselberry operation owned by Mustafa and her Cuban-born husband, Azarias Mustafa Córdoba.

If the rules go into effect, "it would put us out of business," she said of their company, launched five years ago. - Orlando Sentinel

If you like what Obamacare has done to your ability to keep your doctor and lower your health insurance premiums, you are going to love the new and improved FDA deeming rules on tobacco products.

Should a gentleman offer a lady a Tiparillo?

Only if the FDA doesn't object.

Is anything beyond the reach of the FDA? What about those e-cigarettes?

Stay tuned.

#FDAdeemingrules  #Cigars









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Tuesday, 6 September 2016

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Premium cigars, and the people who make them, may be going the way of the health insurance agent. DC has decided to extend regulatory oversight of the tobacco industry in a way that will significantly impact many aspects and effectively drive many small business owners to close their doors.

Under the guise of paternalism, the federal government claims they are looking after the welfare of the citizenry.

The true goal is an attempt to raise taxes incognito and create another windfall for the bureaucracy. It is quite possible the opposite will occur and tax collections will be negatively impacted or neutral.

Let me say this post is not a personal vendetta. I don't use tobacco of any kind and have no horses in this race. While this is a non-insurance post on an insurance website, this venue has also covered topics relating to government overreach, especially when it comes to Obamacare.

First, a bit of history for background purposes.

In 2000 the U.S. Supreme Court ruled in favor of Brown & Williamson's suit against the FDA. The decision handed down by the high court essentially said the FDA did not have regulatory authority over tobacco.

Within weeks of this ruling, FDA revokes its final rule, issued in 1996, that restricted the sale and distribution of cigarettes and smokeless tobacco products to children and adolescents, and that determined that cigarettes and smokeless tobacco products are combination products consisting of a drug (nicotine) and device components intended to deliver nicotine to the body. - FDA

I am not a lawyer but it seems as if the FDA thumbed their nose at SCOTUS and used a fallback position to circumvent the ruling and do what they wanted anyway.

And more overreach was to follow.

President Obama signs the Family Smoking Prevention and Tobacco Control Act into law.  The Tobacco Control Act gives FDA authority to regulate the manufacture, distribution, and marketing of tobacco products to protect public health.

FDA Center for Tobacco Products established.

FDA announced a ban on cigarettes with flavors characterizing fruit, candy, or clove.

As far as we know the president never gave up his promise to quit smoking.

He also promised to make health care affordable for everyone.

In May of 2016 the nicotine police took steps to expand their territory per this article from Reason.

Although yesterday's announcement that the Food and Drug Administration (FDA) will start regulating e-cigarettes is getting the most attention—Reason’s Jacob Sullum explains why this is awful news for vapers—the agency’s new deeming regulations also have huge implications for the cigar industry.

The threat of FDA restrictions have loomed over the cigar business ever since the FDA took control over cigarettes; yesterday morning, the other shoe finally dropped.

The worst fear of cigar manufacturers and smokers alike has been that the FDA will impose the same onerous pre-market review requirements on cigars that it currently places on cigarettes.

The progression so far has been to regulate and restrict the sale of tobacco products in any form but has also opted to tell the tobacco industry how they can and cannot design their product. By banning flavored tobacco DC has shown the same disregard for industry that Obamacare did by deciding the type of product the health insurance industry can and cannot offer their customers.

Candy flavors in tobacco are restricted but menthol is apparently not a flavor. At least at that point rum flavored cigars as well as "sweet" flavored tobacco used in pipes (Cherry Blend) and cigars (Swisher Sweets) are allowed as long as children are not around.

One of my uncles was a pipe smoker and I loved to be around him when he enjoyed his evening puffs of Cherry Blend tobacco.

Of course I also rode in cars that didn't have seat belts and fearlessly rode my bike without a helmet.

More on the march of the tobacco Nazi's in a later post.


#TobaccoRegulation #Obamacare #FDA



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Friday, 2 September 2016

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As we noted a week ago, some Grand Canyon State citizens are going to have a problem this November:

"People in Pinal County are at risk of a health insurance problem that hasn't happened anywhere else in the country: no companies offering marketplace health insurance"

Turns out, Aetna was the sole remaining carrier on that state's Exchange, and they've bailed. That means that, if you live in Pinal County (home of the Boyce Thompson Arboretum) and you want to buy health insurance, you'll have to buy if off the Exchange.

Which also means you get to pay full-freight: no subsidies for off-Exchange plans.

And that most likely means you'll be faced with plans that are unaffordable. No problem: the ObamaTax makes provision for such circumstances, and offers an exemption for folks who can't afford premiums.

Except there's a pretty significant, but under-the-radar, catch: this exemption won't be available to the folks in Pinal County.

Why not?

Well, as FoIB Michael Cannon explains, "[t]he unaffordability exemption applies only if “the annual premium for the lowest cost bronze plan available in the individual market through the Exchange” is unaffordable." But there are **no** plans on the Exchange.

See the problem?

Read the whole thing, you'll be glad (and/or furious) that you did.


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Thursday, 1 September 2016

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If you want to understand why your rates keep going up, you can lay a big chunk of the blame on items like this (in email from Medical Mutual this morning):

"To be compliant with the non-discrimination rule outlined in the Affordable Care Act (section 1557), we will remove broad exclusions for gender transition treatment"

Let's dial back a bit, and talk about why this is so stupid. In the earliest days of this blog, we participated in a discussion with other bloggers about medical necessity and In Vitro Fertilization (IVF). We averred that:

"[A]ccording to the standard industry definition, “medical necessity refers to treatment which is required to treat or care for symptoms of an illness or injury or to diagnose an illness or condition that is harmful to life or health.” Thus, we see that IVF fails to meet the threshold of “medical necessity,” ergo it should not be covered by insurance."

That is, no one has ever died because they couldn't/didn't get pregnant. Likewise, there is no evidence that anyone has ever died because they didn't get their personal bits chopped and/or replaced (excluding obviously medical issues like cervical or breast cancer and the like). There is, however, ample evidence that these folks are at much higher risk for attempting suicide (which would then require medical treatment in the most expensive part of the hospital).

So when insurers are forced to pay for non-medically necessary procedures, that cost is going to be passed along in the form of higher insurance premiums. Now, am I blaming Medical Mutual for this change? Of course not, they're simply following directives sent down from Our Betters in DC©.

What choice do they (or any other carrier) have?

It's not rocket surgery, after all.


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This never gets old:



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